Individual
BENNIE W BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LPC
Contact information
Practice address
12835 EAST ARAPAHOE, TOWER2, STE:440, CENTENNIAL, CO 80112
(720) 621-5944
(720) 222-5109
Mailing address
155 ARDMORE ST, CASTLE ROCK, CO 80104-8804
(720) 621-5944
(720) 222-5109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000467
CO
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33704210
—
CO
Enumeration date
07/14/2014
Last updated
07/28/2020
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